Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mary Adeline Gipson

Individual provider Emergency Medicine Physician · NPI 1841808565

Mary Adeline Gipson is an Emergency Medicine in Grand Rapids, Michigan. Graduated from Central Michigan College of Medicine in 2021, 5 years ago. Practices with Ecs Western Michigan PC, a 201-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
5
Trained at
Central Michigan College of Medicine
Licensed in
MI
In the registry since
2020
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Practice location Address checks out

4100 Embassy Dr SE Ste 400
Grand Rapids, MI 49546-2416
Phone: (616) 988-8220
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 5315226337 (MI)

Record details

NPI number1841808565
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 20, 2020
Last updated in NPPESJuly 31, 2024
Certification dateJuly 31, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolCENTRAL MICHIGAN COLLEGE OF MEDICINE
Graduated 2021 (5 years in practice)
Group practice Ecs Western Michigan Pc — 201 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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